Provider Demographics
NPI:1407383235
Name:LAIRD, BRYTANI BRADY (DC)
Entity Type:Individual
Prefix:
First Name:BRYTANI
Middle Name:BRADY
Last Name:LAIRD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W FARREL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7243
Mailing Address - Country:US
Mailing Address - Phone:337-534-0094
Mailing Address - Fax:337-534-0376
Practice Address - Street 1:101 W FARREL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7243
Practice Address - Country:US
Practice Address - Phone:337-534-0094
Practice Address - Fax:337-534-0376
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1792111N00000X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor